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Coverage Determination (CD) and Prior Authorization (PA) requests should be submitted to Prime Therapeutics for the following: Diabetic testing supplies including continuous glucose monitors (CGMs) Nebulizer solutions for at home use (e.g., albuterol, budesonide) Oral anti-nausea drugs related to cancer Transplant / immunosuppressive drugs Medicare GLP-1 Bridge Demonstration Pilot Program On July 1, 2026, the Centers for Medicare & Medicaid Services (CMS) launched the Medicare GLP-1 Bridge , a short-term demonstration program designed to expand access to certain GLP-1 medications for eligible Medicare Part D beneficiaries for weight loss indication
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